HomeMy WebLinkAboutForm A - ANR Application - - 485 WOOD LANE r?iawg
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PLANNING DEPARTMENT
Community& Economic Development Division
Form A - A plication, for APPROVALNOT REQUIRED
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DATE:
Bring,three application forms t the Town Clerk's office to,tiime st rn . Leave one applicationwit the Town Clerk aril bring two
,applications�t the l aril epairt ente Petitioner must submit a electronic P "version t�all submission material.
'The undersigned,believing that the co p nyin plan of property in the Town of NorthAn r,p Massachusefts,does not
constitute a subdivision within the meaning of the Subdivision Control Law,herewith submits its said planfor a determination and
nd rsernent that the Planning Board approval under the SOdivisi rr Control Law is not required.
Please do not prepare Mylars until the Planning Board as reviewed the application.
flow 4,1111 "m ,",1
1. Name of Applicant. �����
Address:___Z.c.V) /'ZOOAtoyPhone& s " ,
errl..... oa IW' "row" �, �"� il�.m° ...„ u, � r; w"'I w�'+ IVr4
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2. Location and Description of Property[Include Assessor's Map and Lot and Zoning istric s]:
w" m
2.
3.
Deed
g g vup" { Iu t
Reference: Book- Pa g
r Certificate of Title:
Name Sr �r
w uve
w «" ;
Address, 2
Signature of ' rune(`).
Address: r w� i uunm IVI
Please do not prepare Mylars until the Planning Boardhas revi,ewed the application,.
Please indicate the grounds(either,A, B,C or D,not a combination)on which you believe your plan not to,be a
subdivision.
Page of 2
20 Wiiri Street, Planning Dept., North r ' er, Massachusetts 1 5
Phone . ,953 Fax 978.688.9542 Web w .n rth rr ae
A. Each lot on the,plan meets one of the following criteria:
1 Has the frontage, lot area,, and lot width required under the Zoning By-law on.,
I
a),a public way, or,
b)a way which the Town Clerk certifies is maintained&used as a public way,,or
c)a way shown on a plan approved:and endorsed by the Ranning Board under the Subdivision Control Law,
recorded in Plan Book Plan or
d)a way In existence before the adoption of the Subdivision Control Law by,the Town and which,the,Board finds
adequate,for the,way's proposed use, or
e)a way shown on plan of a subdivis on recorded at the Registry of Deeds or the,Land Court prior to,the
adoption of the Subdivision Control Law.
13. Each,Lot has been clearly marked on the plan to be,either,.-,
a)jioined to and made part�of an adaunt lot',or
b)labeled"Not A Building Lot".
C. Each lot on the plan contains a building that existed prior to,the adoption Of the Sou bdiv,ision,Control Liaw.
D. The plan shows,an existing parcel with no new lot division(s)and has frontage on a way described above.
Received-Town of North Andover Town Clerk(date starnp)
Br oat re of Town Official �recei ing this applicafion.-
No tic e to,APPLICANT/TOWN CLERK ofactiort of'Planning Board on accompanying plan-
1. The North Andover Planning Board has determined that said plan es not require approval under the
Subdivision Control Law,and the appropriate endorsement has been made upon the same.
2. The North Andover Planning Board has determined that said plan shows a subdivision,as defined by,G.L.c.4111,
s.,81-L and must,therefore,be resubmitted for approvalurider the Subdi'vision Control Law.
'Very truly yours,
Noah Andover Plannk,,�iig Board
By
Date:
NOTE: If endorsed,Notice of Plans,: The petitioner,is responsible for recording the endorsed plans at the,Essex North
Registry of Deeds,,Lawrence, Massachusetts,and shall provide a certified recorded copy of these documents to the
Planning Department,.
........ Page 2 of 2
'120 Main Streeff Planning Dept,, North Andover, Massach'Usett's 018,45
Phone,978.688,9535 Fax 978,688.954,2 Web www.rem hand oven ma,_qov
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11y/,IFPLAANNING,DEPARTMENT
i
Building Conservation Health Planning Stevens Estate Zoning
Certification of'Pr icy l "Faxes, Fees, Assessments,, Betterments
Other Winicipal Charges
The Town of NorthAndover General Bylaw Chapter 2 - , provides that any applicati n for a
permit or license may be denied, suspended or revoked If the applicant or holder thereof has
failed r refused to pay any taxes, fees, assessments, betterments r other municipal charges
assessed to the applicant r holder t l�r�u ss
ro corporation r rat a� which, a individual
�,�aal
has an interest. signing this �a ra
lic tl 1 the �a lic ant re r sents th at he or she has paid all
such taxes and fees.
„wp
certify under the penalties of perjury that to the
best of my knowledge and belief, 1 have not nor has any c r ration,, trust r'any other
c rramerci l entity in which 1 have a financial interest neglected r refused'to pay anymunicipal
taxes,, tees, assessments, betterments or any other municipal charge including amounts
assessed' under the provisions of section twenty-ore D, or am not applying,for a license oir
err it with respect to any acti it , anent or other matter which is the subject of such license or
permit"and which activity', evert or matteris curried out s,
r ex r ed or is be carried out or
exercised on, or about real senate whose owner,or any business, corporation r trust In which
that,individual has an interest has neglected r refused to pay any local taxes,es tees
assessments,, bettermlents or any other municipal charge.
Signed under oath:
Na .��
Address 10 A.,
tie ,,,
Dies the Property Owner own any additional r art in North Andover?'
If yes, please list the property address ofany additional property'.
Tarty Ares
,North Andover Tax Collector Signature
Name
Date